1679240626 NPI number — LAUREN HARRINGTON

Table of content: LAUREN HARRINGTON (NPI 1679240626)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679240626 NPI number — LAUREN HARRINGTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARRINGTON
Provider First Name:
LAUREN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679240626
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/26/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1379 N 1075 W STE 228
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARMINGTON
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84025-2859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55-166 NAUPAKA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAIE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96762-1132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-254-0573
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  12032330-6010 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)